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WO1999034748A1 - Ruban implantable et extenseur-greffon pour le traitement d'anevrisme de vaisseau - Google Patents

Ruban implantable et extenseur-greffon pour le traitement d'anevrisme de vaisseau Download PDF

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Publication number
WO1999034748A1
WO1999034748A1 PCT/IB1999/000118 IB9900118W WO9934748A1 WO 1999034748 A1 WO1999034748 A1 WO 1999034748A1 IB 9900118 W IB9900118 W IB 9900118W WO 9934748 A1 WO9934748 A1 WO 9934748A1
Authority
WO
WIPO (PCT)
Prior art keywords
stent
body structure
band
graft
vessel
Prior art date
Application number
PCT/IB1999/000118
Other languages
English (en)
Inventor
Leonard Pinchuk
Original Assignee
Boston Scientific, Limited
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Boston Scientific, Limited filed Critical Boston Scientific, Limited
Publication of WO1999034748A1 publication Critical patent/WO1999034748A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06—Blood vessels
    • A61F2/07—Stent-grafts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
    • A61B17/115—Staplers for performing anastomosis, e.g. in a single operation
    • A61B17/1152—Staplers for performing anastomosis, e.g. in a single operation applying the staples on the outside of the lumen
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/132—Tourniquets
    • A61B17/1322—Tourniquets comprising a flexible encircling member
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/12—Surgical instruments, devices or methods for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels or umbilical cord
    • A61B17/132—Tourniquets
    • A61B17/1322—Tourniquets comprising a flexible encircling member
    • A61B17/1327—Tensioning clamps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95—Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2002/9534—Instruments specially adapted for placement or removal of stents or stent-grafts for repositioning of stents

Definitions

  • the present invention relates generally to devices and methods for treating diseased vessels in the human body
  • the present invention is an implantable band and stent-graft to treat an aneurysm in a vessel
  • Stents and stent-grafts are, for example, used to repair (1 e , treat) aneurysms, enlarged (1 e , dilated) diseased and weakened areas of a vessel Stenosis, a narrowing and occlusion of a vessel typically caused by tissue buildup, also is often treated by stents and stent-grafts
  • a relatively healthy and undilated portion of the vessel, sometimes referred to as the neck, is often located adjacent to the weakened portion with the aneurysm
  • an abdominal aortic aneurysm which can be treated by stents and stent-grafts
  • Abdominal aortic aneurysms typically occur in the portion of the aorta between the renal artery branch (1 e , the location at which the renal arteries meet the aorta) and the iliac bifurcation (1 e , the location downstream from the renal artery branch at which the aorta divides into the iliac arteries)
  • An aortic graft for repairing an abdominal aortic aneurysm is disclosed in the Parodi U S Patent 5,591,229
  • Stents and stent-grafts are typically intraluminally delivered to the site of an aneurysm in a reduced-diameter state After being positioned adjacent to the aneurysm, the stent or stent-graft is radially extended into an expanded state, often by self expansion and/or by an inflatable balloon One or both ends of the stent or stent-graft will typically be positioned adjacent to or over the relatively healthy portions of the vessel In the expanded state, these portions of the stent or stent-graft will engage the circumference of the interior surface of the relatively healthy portions of the vessel If the weakened portion of the vessel with the aneurysm has a diameter which is greater than the diameter of the stent or stent-graft in its expanded state, the portion of the stent or stent-graft extending through the aneurysm will essentially float in the vessel, secured in place by the ends of the stent or stent-graft engaged with the relatively healthy portions of the vessel Additional anchoring
  • the present invention is a structure for treating a section of a patient's vessel having a first weakened vessel portion adjacent to a second relatively healthy vessel portion
  • the structure includes a band having first and second free opposite ends, and a radially expandable stent or stent-graft
  • the band is wrapped and tightened around the outer circumference of the healthy vessel portion, and the first and second ends engaged with one another to secure the band to the outer circumference of the healthy vessel portion
  • the stent or stent-graft is implanted in the section of the patient's vessel
  • the implanted stent or stent-graft extends through at least a portion of the weakened vessel portion and engages an inner circumference of the healthy vessel portion at a location adjacent to the weakened vessel portion
  • the band helps prevent dilation of the healthy vessel portion and migration of the stent or stent-graft
  • the band can be efficiently implanted by minimally invasive surgical procedures Furthermore, the band can be efficiently implanted by minimally invasive surgical procedures
  • Figure 1 is an illustration of a portion of an aorta with an aneurysm, which can be treated by the device of the present invention
  • Figure 2 is an illustration of the portion of the aorta shown in Figure 1, having a band secured to the neck of the aneurysm in accordance with the present invention
  • Figure 3 is an illustration of the portion of the aorta shown in Figure 1, with portions thereof shown in section, and illustrating a band and a stent-graft implanted in accordance with the present invention
  • Figure 4 is an illustration of the portion of the aorta shown in Figure 1, with portions thereof shown in section, illustrating two bands and a stent-graft implanted in accordance with the present invention
  • FIG. 5 is a detailed illustration of a first embodiment of the band shown in Figures 2 - 4
  • Figure 6a is a detailed illustration of a second embodiment of the band shown in Figures 2 - 4, in its unfastened state
  • Figure 6b is a detailed illustration of the band shown in Figure 6a in its fastened state
  • Figure 7 is a detailed illustration of a third embodiment of the band shown in Figures 2 - 4
  • Figure 8 is a detailed illustration of a fourth embodiment of the band shown in Figures 2 - 4
  • FIG. 9 is a detailed illustration of a fifth embodiment of a band which can be used with the method of the present invention
  • FIG. 1 is an illustration of a diseased abdominal aorta 12 which can be treated by a band and stent or stent-graft in accordance with the present invention
  • renal arteries 14A and 14B extend from the aorta 12 at renal artery branch 16 Downstream from the renal artery branch 16 is the iliac bifurcation 20 at which the aorta 12 divides or branches into the iliac arteries 18 A and 18B
  • the device and method of the present invention can be used, for example, to treat a section of the vessel including a first or diseased portion 26 which is shown located between the renal artery branch 16 and the iliac bifurcation 20 Diseased vessel portions such as
  • Aortic aneurysms are commonly known as aortic aneurysms Aortic aneurysms are characterized by weakened, and as shown, dilated (I e , expanded-diameter) vessel walls On opposite sides of the diseased portion 26 are second and third relatively healthy vessel portions
  • the relatively healthy vessel portions 27 and 28 are generally not weakened or dilated to the degree that the diseased portion 26 is weakened and dilated, and are therefore generally stronger than the diseased portion In the portion of aorta 12 shown in Figure 1, second and third vessel portions 27 and 28, also sometimes known as the necks of the aneurysm, are not dilated to a substantial degree
  • the method of the present invention includes securing a band 40 around at least one of the relatively healthy vessel portions such as 27
  • the band 40 is secured around and to the outer circumferential surface of the vessel portion 27 and/or 28 at a location adjacent to the inner circumferential surface of the vessel portions engaged by the stent or stent-graft 42
  • the band 40 can be secured to the vessel portion 27 and/or 28 either before or after a stent or stent-graft 42 is implanted in the diseased vessel portion 26
  • the implanted band 40 helps slow or prevent further dilation of vessel portions 27 and/or 28, .and thereby reduces or prevents dislodgment or migration of the implanted stent or stent-graft 42
  • Band 40 can be placed around the vessel portion 27 and/or 28 using known open surgical techniques Preferably, however, the band 40 is placed using minimally invasive surgical techniques Surgical techniques of these types are well known Briefly, using such a technique a surgeon will cut a number of small holes in the patient's abdomen and place a trocar in the holes to provide access for an endoscope (internal viewing instrument) and other surgical instruments The abdomen is then inflated with gas such as carbon dioxide to provide the space required to perform the surgical procedure Using the endoscope and other instruments, the surgeon will dissect the aorta 12 from adjacent tissues and wrap the band around the vessel portions 27 and/or 28 Opposite ends of the band 40 are then engaged, the band tightened to be flush with the vessel portion 27 and/or 28, and the band ends secured The band 40 can also be secured to the vessel portions 27 and/or 28 by staples, sutures or other conventional surgical fasteners (not shown) After the band 40 is implanted and the aorta 12 and the surrounding tissues repositioned, the surgical instruments
  • FIG. 5 A number of different embodiments of bands which can be used in accordance with the present invention are illustrated in Figures 5, 6a, 6b, 7 and 8
  • the band 140 shown in Figure 5 has a belt buckle-type fastener 150 for connecting its opposite ends 152 and 154
  • Fastener 150 includes a loop 156 and tongue 158 on the end 152, and a number of adjacent holes 160 on the end 154 After being wrapped around the vessel portion at which it is to be placed, fastener 150 is used in a conventional manner to secure the band 140 in place
  • the band 240 in Figures 6a and 6b has a fastener 250 formed by a U-shaped hook 258 and a plurality of tubes 256 on the ends 252 and 254 of the band
  • the tubes 256 are transversely mounted to the band 240 During the implantation procedure the band 240 will be cut to the desired length, and the legs of the hook 258 inserted into and preferably locked within the tubes 256 on the ends 252 and 254 (as shown in Figure 6b) to secure the band in place
  • Figure 7 illustrates a band 340 having a fastener 350 which includes buckle loop 356 on its end 352 During implantation the end 354 is placed through loop 356, pulled tight and secured to end 352 by surgical staples 358
  • a band 440 having a cable tie-type fastener 450 is shown in Figure 8 Any known and suitable cable tie configuration can be used for fastener 450
  • Fastener 450 includes ratchet member 456 on the end 452 of the band 450, and may have serrations or other structures (not shown) on the end 454 which cooperate with the ratchet member During implantation the end 454 is pulled through ratchet member 456 until the band 440 is tightened around the vessel portion The ratchet member 456 allows the end 454 of the band 440 to move only in the tightening direction, thereby securing the band in place after it has been tightened
  • the band and its fasteners can be fabricated from any of a variety of suitable implantable materials
  • the band can be impermeable (non-porous), or microporous and formed of braided, woven, non-woven or knitted textile materials
  • suitable materials include PET, polyurethane, polymethylmethacrylate, polyolefin, polyvinyl chloride, polytetrafluoroethylene (PTFE) and polypropylene Expanded PTFE can also be used
  • Alternative materials include porous polymers such as particle eluted si cone rubber or polyolefin or polyurethane Combinations of the materials described above, and other implantable materials such as stainless steel and other metal alloys, can also be used
  • Bands 40 and the method described above can be used in connection with most any now known or later-developed stents and stent-grafts
  • Both self-expanding and balloon expandable stents and stent-grafts can be used with the bands 40 and the method of the present invention
  • Examples of self-expandable stents are shown, for example, in the Wallsten U S Patent 4,655,771 and the Wallsten et al U S Patent 5,061,275 which are hereby incorporated by reference in their entirety
  • the stent- grafts can be covered, lined or interwoven with synthetic or textile materials
  • Straight tubular, bifurcated, tapered, modular multiple component and multiple legged devices are examples of types of stent-gr.afts which can have enhanced efficacy when used in connection with the band and method of the present invention
  • Bifurcated stent-grafts are, for example, described in the Alcime et al U S Patent 5,632,772 and the Dereum
  • the band 40 can be secured to the vessel portion before or after the stent or stent-graft is implanted Any now known or later developed procedure for implanting the stent or stent-graft can be used in connection with the present invention
  • Devices and methods for delivering and deploying stents and stent- grafts are disclosed, for example, in the following U S Patents, all of which are hereby incorporated by reference in their entirety Wallsten et al 4,732,152, Burton et al 5,026,377, Heyn et al 5,201,757 and Braunschweiler et al 5,484,444
  • a delivery device for a self- expandable stent-graft such as 42 shown in Figures 3 and 4 can include an elongated and flexible inner tube having proximal and distal ends
  • the stent or stent-graft 42 is positioned around the inner tube in its reduced-radius, compressed state, and constrained in the compressed state by an outer tube that surround the inner tube and the stent-graft
  • a deployment mechanism which can be actuated from the proximal end of the delivery device retracts the outer tube with respect to the inner tube, thereby allowing the stent-graft 42 to self-expand
  • the assembled delivery device is inserted percutaneously into the femoral artery and directed through the artery until the distal end with the constrained stent-graft 42 is positioned at the diseased vessel portion 26
  • the deployment mechanism is then actuated to allow the stent-graft 42 to self-expand into engagement with the aorta 12
  • FIG. 3 the examples shown in Figures 3
  • portions 27 and 28 In other embodiments (not shown), only one end of the stent-graft 42 is engaged with a relatively healthy portion 27 or 28 of the aorta 12
  • band 540 is macroporous, having relatively large holes 560 through the material from which the band is formed Alternatively band 540 can be made with a combination of large holes and microporous holes
  • the present invention offers a number of important advantages
  • the efficacy of stents and stent-grafts implanted in accordance with the method is improved since the possibility of dislodgment and migration is reduced
  • the device can also be relatively easily implanted using minimally invasive surgical techniques
  • the overall efficiency and effectiveness of health care delivery services is thereby enhanced
  • the device can be used in connection with stents, stent-grafts and similar devices implanted throughout the vasculature and other tubular structures of a patient

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  • Health & Medical Sciences (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

L'invention concerne une structure permettant de traiter un anévrisme aortique qui comporte une longueur de vaisseau dilaté (26) à la suite d'une longueur de col relativement sain (27). La structure comprend un ruban (40) défini par ses extrémités opposées et un extenseur ou un extenseur-greffon (42). Le ruban (40) vient envelopper serré le pourtour de la longueur de col (27), à la suite de la partie dilatée, les extrémités assurant une prise de manière à maintenir le ruban (40) en position. L'implantation de l'extenseur ou de l'extenseur-greffon (42) dans le col et l'anévrisme peut intervenir aussi bien avant qu'après la mise en place du ruban (40). C'est en effet ce ruban (40) qui empêche le col de se dilater et l'extenseur ou l'extenseur-greffon (42) de se migrer.
PCT/IB1999/000118 1998-01-07 1999-01-07 Ruban implantable et extenseur-greffon pour le traitement d'anevrisme de vaisseau WO1999034748A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US7072298P 1998-01-07 1998-01-07
US60/070,722 1998-01-07
US15036698A 1998-09-09 1998-09-09
US09/150,366 1998-09-09

Publications (1)

Publication Number Publication Date
WO1999034748A1 true WO1999034748A1 (fr) 1999-07-15

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PCT/IB1999/000118 WO1999034748A1 (fr) 1998-01-07 1999-01-07 Ruban implantable et extenseur-greffon pour le traitement d'anevrisme de vaisseau

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Country Link
WO (1) WO1999034748A1 (fr)

Cited By (23)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10104806A1 (de) * 2001-01-26 2002-08-14 Univ Eberhard Karls Gefäßprothese
WO2004096090A1 (fr) * 2003-04-29 2004-11-11 Eberhard-Karls-Universität Tübingen Universitätsklinikum Prothese endovasculaire destinee a etre implantee dans un vaisseau et systeme comprenant une telle prothese endovasculaire
FR2858543A1 (fr) * 2003-08-08 2005-02-11 Assist Publ Hopitaux De Paris Anneau aortique et ancillaire pour sa pose
EP1520533A1 (fr) * 2003-09-30 2005-04-06 Ethicon Endo-Surgery, Inc. Bande implantable avec un mécanisme de fixation mécanique
WO2006060531A1 (fr) * 2004-11-30 2006-06-08 Boston Scientific Scimed Inc. Dispositif et procede de fixation de prothese
US7951067B2 (en) 2003-06-27 2011-05-31 Ethicon Endo-Surgery, Inc. Implantable band having improved attachment mechanism
US8163005B2 (en) 2007-03-02 2012-04-24 William A. Cook Australia Pty. Ltd. Vascular band
EP2680788A4 (fr) * 2011-03-02 2014-12-10 Endospan Ltd Anneau extravasculaire à contrainte réduite pour traiter un anévrisme aortique
EP2231066A4 (fr) * 2007-12-15 2015-04-22 Endospan Ltd Enveloppe extravasculaire pour le traitement d'un anévrisme de l'aorte en association avec un stent-greffon endovasculaire et procédés associés
US9101457B2 (en) 2009-12-08 2015-08-11 Endospan Ltd. Endovascular stent-graft system with fenestrated and crossing stent-grafts
US9254209B2 (en) 2011-07-07 2016-02-09 Endospan Ltd. Stent fixation with reduced plastic deformation
US9427339B2 (en) 2011-10-30 2016-08-30 Endospan Ltd. Triple-collar stent-graft
US9597204B2 (en) 2011-12-04 2017-03-21 Endospan Ltd. Branched stent-graft system
DE102015119298A1 (de) * 2015-11-10 2017-05-11 Gabor Keresztury Bandage zum Behandeln eines Aneurysmas und Aneurysmabehandlungssystem sowie deren Verwendung
US9668892B2 (en) 2013-03-11 2017-06-06 Endospan Ltd. Multi-component stent-graft system for aortic dissections
US9687366B2 (en) 2015-06-19 2017-06-27 Cordis Corporation Endoleak mitigator for aneurysm stent-graft
US9770350B2 (en) 2012-05-15 2017-09-26 Endospan Ltd. Stent-graft with fixation elements that are radially confined for delivery
US9839510B2 (en) 2011-08-28 2017-12-12 Endospan Ltd. Stent-grafts with post-deployment variable radial displacement
US9855046B2 (en) 2011-02-17 2018-01-02 Endospan Ltd. Vascular bands and delivery systems therefor
US9918825B2 (en) 2009-06-23 2018-03-20 Endospan Ltd. Vascular prosthesis for treating aneurysms
US10201413B2 (en) 2009-11-30 2019-02-12 Endospan Ltd. Multi-component stent-graft system for implantation in a blood vessel with multiple branches
US10485684B2 (en) 2014-12-18 2019-11-26 Endospan Ltd. Endovascular stent-graft with fatigue-resistant lateral tube
US10603197B2 (en) 2013-11-19 2020-03-31 Endospan Ltd. Stent system with radial-expansion locking

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5527355A (en) * 1994-09-02 1996-06-18 Ahn; Sam S. Apparatus and method for performing aneurysm repair

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5527355A (en) * 1994-09-02 1996-06-18 Ahn; Sam S. Apparatus and method for performing aneurysm repair

Cited By (35)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE10104806A1 (de) * 2001-01-26 2002-08-14 Univ Eberhard Karls Gefäßprothese
WO2004096090A1 (fr) * 2003-04-29 2004-11-11 Eberhard-Karls-Universität Tübingen Universitätsklinikum Prothese endovasculaire destinee a etre implantee dans un vaisseau et systeme comprenant une telle prothese endovasculaire
US7951067B2 (en) 2003-06-27 2011-05-31 Ethicon Endo-Surgery, Inc. Implantable band having improved attachment mechanism
US7500944B2 (en) 2003-06-27 2009-03-10 Ethicon Endo-Surgery, Inc. Implantable band with attachment mechanism
FR2858543A1 (fr) * 2003-08-08 2005-02-11 Assist Publ Hopitaux De Paris Anneau aortique et ancillaire pour sa pose
US9937040B2 (en) 2003-08-08 2018-04-10 Assistance Publique—Hopitaux de Paris Method of repairing an aortic valve
US10561499B2 (en) 2003-08-08 2020-02-18 Assistance Publique—Hopitaux de Paris Aortic ring and ancillary device for implanting it
EP1520533A1 (fr) * 2003-09-30 2005-04-06 Ethicon Endo-Surgery, Inc. Bande implantable avec un mécanisme de fixation mécanique
EP2311388A1 (fr) * 2003-09-30 2011-04-20 Ethicon Endo-Surgery, Inc. Bande implantable avec un mécanisme de fixation mécanique
JP2005103305A (ja) * 2003-09-30 2005-04-21 Ethicon Endo Surgery Inc 取付機構を伴う移植可能な帯
US8048144B2 (en) 2004-11-30 2011-11-01 Scimed Life Systems, Inc. Prosthesis fixation device and method
WO2006060531A1 (fr) * 2004-11-30 2006-06-08 Boston Scientific Scimed Inc. Dispositif et procede de fixation de prothese
US8163005B2 (en) 2007-03-02 2012-04-24 William A. Cook Australia Pty. Ltd. Vascular band
EP2231066A4 (fr) * 2007-12-15 2015-04-22 Endospan Ltd Enveloppe extravasculaire pour le traitement d'un anévrisme de l'aorte en association avec un stent-greffon endovasculaire et procédés associés
US9918825B2 (en) 2009-06-23 2018-03-20 Endospan Ltd. Vascular prosthesis for treating aneurysms
US11090148B2 (en) 2009-06-23 2021-08-17 Endospan Ltd. Vascular prosthesis for treating aneurysms
US10201413B2 (en) 2009-11-30 2019-02-12 Endospan Ltd. Multi-component stent-graft system for implantation in a blood vessel with multiple branches
US12127929B2 (en) 2009-11-30 2024-10-29 Endospan Ltd. Multi-component stent-graft system for implantation in a blood vessel with multiple branches
US10888413B2 (en) 2009-11-30 2021-01-12 Endospan Ltd. Multi-component stent-graft system for implantation in a blood vessel with multiple branches
US9101457B2 (en) 2009-12-08 2015-08-11 Endospan Ltd. Endovascular stent-graft system with fenestrated and crossing stent-grafts
US9855046B2 (en) 2011-02-17 2018-01-02 Endospan Ltd. Vascular bands and delivery systems therefor
EP2680788A4 (fr) * 2011-03-02 2014-12-10 Endospan Ltd Anneau extravasculaire à contrainte réduite pour traiter un anévrisme aortique
US9486341B2 (en) 2011-03-02 2016-11-08 Endospan Ltd. Reduced-strain extra-vascular ring for treating aortic aneurysm
US9254209B2 (en) 2011-07-07 2016-02-09 Endospan Ltd. Stent fixation with reduced plastic deformation
US9839510B2 (en) 2011-08-28 2017-12-12 Endospan Ltd. Stent-grafts with post-deployment variable radial displacement
US9427339B2 (en) 2011-10-30 2016-08-30 Endospan Ltd. Triple-collar stent-graft
US9597204B2 (en) 2011-12-04 2017-03-21 Endospan Ltd. Branched stent-graft system
US9770350B2 (en) 2012-05-15 2017-09-26 Endospan Ltd. Stent-graft with fixation elements that are radially confined for delivery
US9668892B2 (en) 2013-03-11 2017-06-06 Endospan Ltd. Multi-component stent-graft system for aortic dissections
US10603197B2 (en) 2013-11-19 2020-03-31 Endospan Ltd. Stent system with radial-expansion locking
US10485684B2 (en) 2014-12-18 2019-11-26 Endospan Ltd. Endovascular stent-graft with fatigue-resistant lateral tube
US11419742B2 (en) 2014-12-18 2022-08-23 Endospan Ltd. Endovascular stent-graft with fatigue-resistant lateral tube
US12193954B2 (en) 2014-12-18 2025-01-14 Endospan Ltd. Endovascular stent-graft with fatigue-resistant lateral tube
US9687366B2 (en) 2015-06-19 2017-06-27 Cordis Corporation Endoleak mitigator for aneurysm stent-graft
DE102015119298A1 (de) * 2015-11-10 2017-05-11 Gabor Keresztury Bandage zum Behandeln eines Aneurysmas und Aneurysmabehandlungssystem sowie deren Verwendung

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